Two Cases of Descending Aortic Dissection with Compromised Visceral Artery, Renal Artery, and Iliac Artery Treated with Percutaneous Stent Insertions

급성 대동맥 박리가 대동맥 분지혈관을 침범한 경우 경피적 시술로 치료한 2예

The involved area is an important guide to the treatment of an acute aortic dissection. Generally, a Stanford type A aortic dissection requires surgery, whereas an uncomplicated Stanford type B aortic dissection is managed medically. However, managing a Stanford type B aortic dissection involving the visceral, renal, or iliac arteries is controversial because surgical perioperative mortality is higher than that for medically managed patients. Some researchers have attempted endovascular treatment to reduce perioperative mortality and protect vital organs. We experienced two cases of descending aortic dissection with compromised visceral, renal, and iliac arteries that were successfully treated by percutaneous stent insertion.

Stanford B형 급성 대동맥 박리 환자에서 대동맥부터 나가는 장간막동맥, 신장동맥, 장골동맥과 같은 중요한 분지혈관의 혈류장애로 인한 허혈이 동반 시 수술적 치료 대신 폐쇄된 동맥에 경피적으로 스텐트를 삽입하여 대동맥에서부터 분지혈관으로 가는 동맥혈류를 회복시키는 중재적 치료를 시행하여 좋은 결과를 경험하였기에 문헌고찰과 함께 보고하는 바이다.